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一种用于内镜测量食管静脉曲张压力的改良型压敏胶囊。

An improved pressure-sensitive capsule for endoscopic measurement of esophageal variceal pressure.

作者信息

Polio J, Leonard R, Groszmann R J, Vogel G

机构信息

Hepatic Hemodynamic Laboratory, Veterans Administration Medical Center, West Haven, Connecticut 06516.

出版信息

Dig Dis Sci. 1988 Jun;33(6):737-40. doi: 10.1007/BF01540439.

DOI:10.1007/BF01540439
PMID:3371143
Abstract

A new small noninvasive pressure-sensitive capsule for the endoscopic measurement of esophageal varix pressure was evaluated and compared to an initial Yale-designed capsule to test the hypothesis that the diameter of the capsule measuring surface is a limiting factor for the accuracy and variability of capsule pressure measurements. Capsule pressures obtained with each capsule, using rabbit mesenteric vessels comparable in size to human esophageal varices, were correlated with direct intraluminal pressure measurements. There was an excellent correlation between capsule pressure measurements obtained with the small capsule and intraluminal pressure (r2 = 0.97) which was significantly greater than the correlation obtained when the initial capsule was studied (r2 = 0.89, P less than 0.01). The variability of capsule pressure measurements obtained with the small capsule was less than that observed when measurements were obtained with the initial capsule (P less than 0.01). Therefore, this new small capsule should provide the most accurate and reproducible noninvasive measurements of variceal pressure.

摘要

一种用于内镜测量食管静脉曲张压力的新型小型无创压敏胶囊进行了评估,并与最初耶鲁设计的胶囊进行比较,以检验以下假设:胶囊测量表面的直径是胶囊压力测量准确性和变异性的限制因素。使用与人类食管静脉曲张大小相当的兔肠系膜血管,通过每个胶囊获得的胶囊压力与直接腔内压力测量值相关。小型胶囊获得的胶囊压力测量值与腔内压力之间存在极好的相关性(r2 = 0.97),这显著大于研究最初胶囊时获得的相关性(r2 = 0.89,P小于0.01)。小型胶囊获得的胶囊压力测量值的变异性小于使用最初胶囊进行测量时观察到的变异性(P小于0.01)。因此,这种新型小型胶囊应能提供最准确和可重复的静脉曲张压力无创测量。

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1
An improved pressure-sensitive capsule for endoscopic measurement of esophageal variceal pressure.一种用于内镜测量食管静脉曲张压力的改良型压敏胶囊。
Dig Dis Sci. 1988 Jun;33(6):737-40. doi: 10.1007/BF01540439.
2
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本文引用的文献

1
Nonaggressive assessment of portal hypertension using endoscopic measurement of variceal pressure. Preliminary report.使用内镜测量静脉曲张压力对门静脉高压进行非侵袭性评估。初步报告。
Am J Surg. 1982 Feb;143(2):212-4. doi: 10.1016/0002-9610(82)90070-8.
2
Intravascular oesophageal variceal pressure (IOVP) assessed by endoscopic fine needle puncture under basal conditions, Valsalva's manoeuvre and after glyceryltrinitrate application.在基础状态、瓦尔萨尔瓦动作及应用硝酸甘油后,通过内镜细针穿刺评估血管内食管静脉曲张压力(IOVP)。
Gut. 1985 May;26(5):525-30. doi: 10.1136/gut.26.5.525.
3
Noninvasive measurement of the pressure of esophageal varices using an endoscopic gauge: comparison with measurements by variceal puncture in patients undergoing endoscopic sclerotherapy.
使用内镜测量仪对食管静脉曲张压力进行无创测量:与接受内镜硬化治疗患者的曲张静脉穿刺测量结果的比较
Hepatology. 1986 Jul-Aug;6(4):667-72. doi: 10.1002/hep.1840060421.
4
Critical evaluation of a pressure-sensitive capsule for measurement of esophageal varix pressure. Studies in vitro and in canine mesenteric vessels.用于测量食管静脉曲张压力的压敏胶囊的批判性评估。体外及犬肠系膜血管研究。
Gastroenterology. 1987 May;92(5 Pt 1):1109-15. doi: 10.1016/s0016-5085(87)91066-3.